| NPI | 1619520616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPER J KOEBBE President 727-605-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2022-03-10 |