| NPI | 1871554618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E KOWALSKY President 239-939-2616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery |
| 2086X0206X Surgery Surgical Oncology | |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-08-22 |