| NPI | 1508159633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J M BROOKS Director 954-501-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME92569) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2013-08-14 |