| NPI | 1538488846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS JACKSON DORRANCE President 561-743-7030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL pa 2335) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2023-05-30 |