| NPI | 1851836092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK DANG Owner 407-401-2690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME128076) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME98622) |
| 208600000X Surgery (Licence: SC LL32912) | |
| Enumeration Date | 2016-12-26 |
| Last Update Date | 2016-12-26 |