Organization
NATURE COAST NEUROSUGERY INC
Active
Other names
Nature Coast Neurosurgery Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE L WITTENBERG MD (PRESIDENT)
(727) 862-1234
Entity
Organization
Contact information
Practice address
13911 LAKESHORE BLVD, HUDSON, FL 34667-7102
(727) 862-1234
(727) 862-1616
Mailing address
13911 LAKESHORE BLVD, HUDSON, FL 34667-7102
(727) 862-1234
(727) 862-1616
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME94451
FL
Other
Enumeration date
04/25/2007
Last updated
01/23/2008
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