NPI | 1801066527 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE BALIS Office Manager 813-977-3776 |
Organization Subpart ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME0041511) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME0028912) |
Enumeration Date | 2008-03-10 |
Last Update Date | 2012-01-10 |