| NPI | 1902477730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME I FLORES CEO 786-409-4135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2023-05-23 |