| NPI | 1487601233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G ROTH Vice President/Secretary 941-483-3319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL 800000658) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: FL 800000658) |
| 207ZD0900X Pathology, Dermatopathology (Licence: FL 800000658) | |
| 207ZI0100X Pathology, Immunopathology (Licence: FL 800000658) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: FL 800000658) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2011-08-18 |