| NPI | 1598927386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA JEAN SAMBILE Practice Administrator 305-852-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL OS4620) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2010-08-03 |