NPI | 1689924912 |
---|---|
Entity Type | Organization |
Authorized Contact | ALVARO JUAN GARCIA President/Provider 954-369-5511 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: FL ME93068) |
Additional Taxonomies | 208600000X Surgery (Licence: FL ME93068) |
Enumeration Date | 2012-09-13 |
Last Update Date | 2012-09-13 |