| NPI | 1063631133 |
|---|---|
| Doing Business As | NATURE COAST NEUROSURGERY INC |
| Entity Type | Organization |
| Authorized Contact | WAYNE L WITTENBERG President 727-862-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME94451) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-01-23 |