| NPI | 1942658182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE ACOSTA President 305-409-7825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL ARNP 9266267) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2020-06-03 |