| NPI | 1639318835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS F. KELLY Owner 941-365-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2012-04-05 |