| NPI | 1902593627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE MANDEL Manager 954-895-7607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-04-21 |