| NPI | 1265392567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHAVIK SHAH Director 813-842-5956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2025-11-18 |