| NPI | 1194836239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA KOLLNER Credentialing Coordinator 813-874-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-07-08 |