| NPI | 1538515747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SCOTT THOMPSON Manager 352-474-2664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL PA9102498) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |