| NPI | 1457622557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NARENDRA S SASTRY Manager 813-786-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME63006) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2014-05-05 |