| NPI | 1467795286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER G MEYER Owner 863-701-4808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME90559) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2016-01-19 |