| NPI | 1194718601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM O DEWEESE Physician/Owner 813-971-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME0025687) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2010-09-20 |