| NPI | 1972335313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY FLANAGAN COO 954-791-6146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other Surgical Assistant |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-15 |