| NPI | 1821478512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR FIGUEROA Director 321-802-9954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME55856) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME55856) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-07-13 |