| NPI | 1629788153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE RIVERA Owner 941-545-8954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2022-11-23 |