| NPI | 1659703148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER NEAL Co Owner 727-871-3710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9104543) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |