| NPI | 1821093220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE PATRICK Practice Manager 727-527-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2014-05-09 |