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 |