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 |