| NPI | 1477885747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SHIREY Executive Director 941-917-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2018-04-17 |