| NPI | 1871990663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DANIEL MILLER CEO 305-814-6542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| 246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant | |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2017-04-27 |