| NPI | 1891468096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA GORKEN VP, PFS 727-281-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |