| NPI | 1902060601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINGO E GALLIANO Owner 941-625-1033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: FL ME54294) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME54294) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME54294) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2013-08-27 |