| NPI | 1659498558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL M DESANTIS Owner 727-869-7497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2008-05-27 |