| NPI | 1518409689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LOW Officer 954-533-8029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: FL ME112335) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |