| NPI | 1023642428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN PARAISO Practice Administrator 352-873-7770 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |