| NPI | 1780633362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E BLAIS Owner 561-499-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME 12838) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2010-05-28 |