| NPI | 1831194026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA HORN Office Manager 941-952-1947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL 586400296) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2009-01-21 |