| NPI | 1295765006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA BADER Office Manager 850-862-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME11585) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-10-12 |