| NPI | 1083150114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | G AUSTIN HILL CEO 941-704-7391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology |
| 2088P0231X Urology, Pediatric Urology | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |