| NPI | 1538385885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ROBERTS Owner Physician 772-871-8922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME63493) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2016-05-10 |