| NPI | 1548562473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LYNN ROONEY Owner 954-982-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: FL OS5296) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |