| NPI | 1003026600 |
|---|---|
| Other Name | ST. JOHNS ORTHOPAEDICS |
| Entity Type | Organization |
| Authorized Contact | ANGELIA M WILKINS Office Manager 386-530-2953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-01-04 |