| NPI | 1275743262 |
|---|---|
| Doing Business As | GULFCOAST VEIN & LASER CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN K BUTTERICK Secretary 813-681-7512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2012-02-14 |