| NPI | 1740554971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY FISHMAN Physician 813-653-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME0053007) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |