| NPI | 1629648084 |
|---|---|
| Other Name | SUNCOAST MEDICAL CLINIC SURGERY VASCULAR |
| Entity Type | Organization |
| Authorized Contact | LYNDA GORKEN VP, PFS 727-281-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-06-29 |