| NPI | 1629005053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMIRO MORALES Owner 954-450-6594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME72807) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2011-06-27 |