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 |