| NPI | 1790087856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANA MARIE HEINZ Managing Director 954-557-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9101635) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |