| NPI | 1134546542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD R PROIA President 352-416-2628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME94028) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME94028) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2017-10-12 |