| 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 |