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 |