| NPI | 1851118970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER R KIELISZAK Doctor 813-434-3238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2024-09-20 |