| NPI | 1285756361 |
|---|---|
| Doing Business As | TAMPA BAY MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | ROBERT CHUONG President 727-894-1442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: FL ME46866) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2011-12-09 |