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 |