| NPI | 1649706979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS FLEITES President 305-856-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |