| NPI | 1104039148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR L VERGA Partner 727-845-1662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2015-02-18 |