| NPI | 1730544172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATSIRAYNA S HUSEVA BAILOR Owner/Medical Director 772-562-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |