NPI | 1629001011 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD JOSEPH PALMERI President 772-337-4243 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA3266) |
Enumeration Date | 2006-07-08 |
Last Update Date | 2007-11-19 |