| NPI | 1790802395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISEL CARMONA-TORRES Manager 407-228-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME62668) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-20 |