| NPI | 1033152822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVA D. WIDDIS Associate Executive Director 352-867-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2016-01-14 |