| NPI | 1033141510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PATRICK COUGHLIN Pediatric Surgeon 813-631-5034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: FL me67720) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |