| NPI | 1558420083 |
|---|---|
| Doing Business As | SEVEN RIVERS VASCULAR |
| Entity Type | Organization |
| Authorized Contact | JOHN WAYNE ROYALTY Owner 352-563-5488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2015-02-06 |