| NPI | 1265671812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEROGE L ETTEL President 727-894-1818 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QL0400X Clinic/Center, Lithotripsy (Licence: FL 790) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |