NPI | 1265216170 |
---|---|
Former Legal Business Name | SOFLO SURGEONS, LLC |
Entity Type | Organization |
Authorized Contact | LAUREN MARIE BRANCIFORTE Operations Admin 904-334-0910 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine |
2084N0400X Psychiatry & Neurology, Neurology | |
2086S0129X Surgery, Vascular Surgery | |
208C00000X Colon & Rectal Surgery | |
Enumeration Date | 2023-08-22 |
Last Update Date | 2023-08-22 |