NPI | 1548586894 |
---|---|
Entity Type | Organization |
Authorized Contact | LEWIS JOHN OBI Medical Director 904-399-0905 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME 12407) |
Enumeration Date | 2010-04-12 |
Last Update Date | 2010-04-12 |