| NPI | 1619058336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANTHONY MANUBAY President 352-596-5919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME 75741) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2014-06-06 |