| NPI | 1922053115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYN MULLHOLAND Credentialing 727-647-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2018-03-17 |