| NPI | 1962800318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD A TABAIE President/Owner 941-720-0731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 208600000X Surgery |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |