| NPI | 1730580457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C OELTJEN President 305-974-1627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME96192) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |