| NPI | 1992015812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHOK ROYCHOUDHURY President Of Corporation 904-724-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME0033384) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-26 |