| NPI | 1437194453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARVIN LEWIS VP Pbfs 386-226-4590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2008-04-20 |