| NPI | 1043407851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L WESLY President/Owner 352-377-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME44335) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME44335) |
| 2086X0206X Surgery, Surgical Oncology (Licence: FL ME44335) | |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2008-12-31 |