| NPI | 1649505686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN SMITTE Office Assistant Wfp 321-449-4534 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 208800000X Urology | |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |