| NPI | 1982688628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MARK RODKEY Vice President 850-523-3816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2017-11-10 |