| NPI | 1780710020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANILO JOSE PORRAS Office Manager 813-685-7995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME72639) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME72639) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2024-08-07 |