| NPI | 1003847401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GODLESKI Managing Member 407-297-0397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME0053893) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2009-01-24 |