| NPI | 1659707248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L. MASSON CEO 407-649-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9104892) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |