| NPI | 1699081356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANCARLO BERTOZZI Physician/Surgeon/Owner 904-396-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME 20514) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |