| NPI | 1295277911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J TINGLE Managing Partner 941-309-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME0059349) |
| Additional Taxonomies | 2088P0231X (Licence: FL ME0045454) |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2016-11-11 |