| NPI | 1629565775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESSIE KUEBERUWA YATES Owner Plastic Surgeon 954-463-5208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME126632) |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2023-09-20 |