| NPI | 1790771970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M. KERR Partner 813-348-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: FL ME61567) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2010-01-27 |