| NPI | 1720753791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA HERNANDEZ Manager 561-300-2410 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2022-02-23 |