| NPI | 1861640179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD A ROUDNER President 305-444-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |