| NPI | 1376285999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARID GHARAGOZLOO Owner 407-747-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-08-16 |