| NPI | 1639360258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT J TRIMAS Owner 904-249-2580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2011-02-14 |