| NPI | 1508892639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZIZ AHMAD Owner 850-265-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2015-01-14 |