| NPI | 1518044288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A GILROY Owner 727-321-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: FL ME90004) |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: FL ME90004) |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: FL ME90004) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |