| NPI | 1023027604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W REED Owner 850-257-7097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME115111) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2014-02-05 |