| NPI | 1578885646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE FELIX LEDESMA President 727-845-1406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME80320) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-04-23 |