| NPI | 1295892008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS WILLIAM KLOTCH President 813-977-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME55312) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |