| NPI | 1912144916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W PINNELLA President 954-491-5340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: FL ME39619) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |