| NPI | 1861604084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK M. SMITH President 850-476-5623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: FL ME0058470) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-05-27 |