NPI | 1205187564 |
---|---|
Doing Business As | SPARKS CARDIOTHORACIC AND VASCULAR SURGERY |
Entity Type | Organization |
Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
Enumeration Date | 2012-09-27 |
Last Update Date | 2012-11-27 |