| NPI | 1659540524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUCK MEWSHAW VP 850-521-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208600000X Surgery | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2014-01-27 |