| NPI | 1679795033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE ZEMBRZUSKI Manager 407-394-8971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA 3083) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-01-19 |