| NPI | 1912453192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS LAURENTIN-PEREZ Sole Partner 813-895-5581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2022-10-03 |