| NPI | 1205997780 |
|---|---|
| Doing Business As | PENINSULA SURGICAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J DOUCETTE Vice President 757-594-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-10-31 |