| NPI | 1225358377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER NEAL Owner 727-871-3710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: FL PA 9104543) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |