| NPI | 1609270487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILENE GILBERT-DROGE COO 941-917-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: FL ME102313) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |