| NPI | 1689186561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER CHANG Owner 305-514-0318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME116714) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2018-03-17 |