| NPI | 1649459389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE M TURNER Co Owner 407-328-0825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9101189) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |