| NPI | 1558670687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRI NOVITZKY President 813-254-7704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME61367) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-11 |