| 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 |