An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X |
| NPI Number | 1457661605 |
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| LBN Legal business name | DESTIN SURGERY CLINIC, P.A. | ||||
| Authorized official | JAMES MOODY - (PHYSICIAN/OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/20/2010 | ||||
| Last updated | 10/20/2010 - About 16 years ago | ||||
| Identifiers |
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