| NPI | 1730337098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE LYNN PENCE Memeber 954-755-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: FL OS10414) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |