| NPI | 1699864579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL P LETOURNEAUT President 305-968-1829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2009-06-05 |