NPI | 1912904111 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN E DICKSON Administrator 407-425-1566 |
Organization Subpart ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL 0000000) |
Enumeration Date | 2005-07-01 |
Last Update Date | 2008-09-12 |