| NPI | 1083651913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD A TABAIE Physician/Owner 941-746-0221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL OS5710) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |