| NPI | 1891891735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ALLEN MCLAUGHLIN Proprietor 813-879-8358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME0030751) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |