NPI | 1508289638 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN ALAN MAGILEN CEO 305-496-9988 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
207R00000X Internal Medicine | |
363A00000X Physician Assistant | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2014-01-24 |
Last Update Date | 2024-11-11 |