| NPI | 1225212533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MORROW Attorney 727-820-7708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: FL ME0068803) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2012-05-30 |