| NPI | 1801148432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE J FERNANDEZ President 941-795-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME0047930) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |