| NPI | 1699018200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THOMAS MALCYNSKI Owner 561-832-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME112973) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-04-02 |