| NPI | 1679665129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN SCOTT LEVINE Owner/ President 954-202-0242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME42654) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-09-18 |