| NPI | 1689950727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | F NICHOLAS GAHHOS Medical Director 941-484-6836 |
| Organization Subpart ? | |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: FL ME44686) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2012-11-29 |