| NPI | 1437283082 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ORMOND CHARLES MENDES President 321-768-2816  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | 
| Enumeration Date | 2007-03-15 | 
| Last Update Date | 2011-09-07 |