| NPI | 1558746644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN F. GARCIA Owner 904-247-8522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: FL ME77632) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |