| NPI | 1508929365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN VINCENT TAORMINA Owner 803-985-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: SC 23865) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2012-07-26 |