| NPI | 1972757490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE PHILIPPE BAQUET Owner 407-328-0825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA11523) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-11 |