| NPI | 1215144191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA BARUP Busines Manager 352-237-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: FL ME59502) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME59502) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME59502) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-08-11 |