| NPI | 1457610537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE BABCOCK Director Of Finance 727-216-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: FL ME54343) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |