| NPI | 1518228865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO JIMENEZ Md/Owner 813-977-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME70856) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-22 |