| NPI | 1487627006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY J BUETTNER Administrator 727-894-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL RN568622) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2020-08-22 |