| NPI | 1851755383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE LOTTENBERG Owner 561-799-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME0027008) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |