| NPI | 1679006373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS CASTANEDA Manager 386-366-3239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: FL os9696) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |