| NPI | 1245532316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY HOWARD DWORKIN Owner 813-374-9002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME61044) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2021-11-03 |