| NPI | 1891032926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE M. MARSHALL Medical Doctor 305-663-5790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME64150) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |