| NPI | 1912161670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DANIEL KURLAND Owner 239-936-8575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME66590) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME66590) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2021-08-10 |