| NPI | 1508910365 |
|---|---|
| Other Name | PLASTIC SURGERY & HAND SURGERY |
| Entity Type | Organization |
| Authorized Contact | EDWARD CARVALLO President 727-919-2395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL me31458) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |