| NPI | 1275079360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A GATES Billing Mgr 561-225-1867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME0012442) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |