| NPI | 1588983787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NESTOR G VIA Y RADA President 954-237-7728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9101346) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2021-04-10 |