| NPI | 1720113558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE MESIDOR President 727-328-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME86398) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME86398) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-02-26 |