| NPI | 1598116212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJ AMBAY Board Certified Plastic Surgeon 813-406-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME109483) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |