| NPI | 1932887676 |
|---|---|
| Doing Business As | HOMEPORT NEUROSURGERY AND SPINE |
| Entity Type | Organization |
| Authorized Contact | SAMUEL D CRITIDES Owner/ P, S 850-374-3125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-02-15 |