| NPI | 1992401319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBRAHIM IHSAN JABBOUR Owner 561-454-9114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-02-07 |