| NPI | 1558008599 |
|---|---|
| Doing Business As | SUNRISE INTRACOASTAL PLASTIC SURGERY CENTER PA |
| Entity Type | Organization |
| Authorized Contact | JUANA DE LA GARZA Authorized Official 549-147-5499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-05-19 |