| NPI | 1992036933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON LERNER President 904-398-5301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: FL ME65425) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2011-08-23 |