| NPI | 1962165084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAMITA MURTHY Owner 321-272-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2021-10-15 |