| NPI | 1194901249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALEK HANANO Owner 321-937-5356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME28033) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2012-12-10 |