Organization Name: | MINIMALLY INVASIVE SURGERY INC |
NPI Number: | 1174656599 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD E MOORE (SURGEON) |
Mailing Address: | 4101 N.w. 4th Street Suite 401 Plantation |
State: | FL US |
Postal Code: | 333172813 |
Phone Number: | 9547974220 |
Fax Number: | 9547974221 |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 10/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |