| NPI | 1144415126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J WAHL President 727-869-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME62494) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2009-12-17 |