| NPI | 1942555289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A JAMES Chief Operating Officer 772-828-1907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME66880) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-23 |