| NPI | 1871811646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MELDRUM WING Physician 407-322-7761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL 602761) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-10 |