| NPI | 1912262544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH MITCHELL JOHNSON Manager 954-298-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME043407) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |