| NPI | 1003851619 |
|---|---|
| Doing Business As | COASTAL NEUROSURGERY & SPINE |
| Entity Type | Organization |
| Authorized Contact | JED PAUL WEBER Owner 727-734-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: FL PA9102790) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: FL PA2726) |
| 363AS0400X Physician Assistant Surgical (Licence: FL PA9102790) | |
| 363AS0400X Physician Assistant Surgical (Licence: FL PA2726) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2011-06-27 |