| NPI | 1487698700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY SMITH Office Manager 941-613-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME0040565) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2010-02-02 |