| NPI | 1760758643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO NUNEZ President 813-376-3491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9101680) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2012-03-26 |