| NPI | 1417036450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY HOPKINS VP/Sec 727-781-8685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA2314 & PA2614) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2015-07-07 |