| NPI | 1972882538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL JABBAR BARHOUSH Persident 352-732-3036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: FL ME21215) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |