| NPI | 1861651259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN PIZZUTI Administrator 352-732-5042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2023-01-13 |