| NPI | 1659769610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL LEE SEETS Managing Member 727-328-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9106505) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2018-04-12 |