| NPI | 1477850352 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | GAIL S LAMB Billing Office Manager 941-926-0696  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant | 
| Enumeration Date | 2011-02-11 | 
| Last Update Date | 2011-02-11 |