| NPI | 1821575960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMEN DEUKMEDJIAN Provider 813-997-2099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-07-22 |
| Last Update Date | 2020-04-07 |