| NPI | 1720439441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJ AMBAY Board Certified Plastic Surgeon 813-406-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL ME109483) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |