| NPI | 1023446838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG BENNETT President 727-697-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9107481) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |