| NPI | 1760777007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HERNANDEZ Director 786-252-2243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA 9101047) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |