| NPI | 1518266931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLEEN CHAPMAN Certified Surgical First Assistant 407-616-7490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2020-02-18 |