| NPI | 1801223862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFAN R ADAIR Owner 941-955-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: FL ME 87985) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2014-01-02 |