NPI | 1962775353 |
---|---|
Entity Type | Organization |
Authorized Contact | RALPH RONALD GARRAMONE President 239-482-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME75131) |
Enumeration Date | 2012-02-15 |
Last Update Date | 2014-10-07 |