| NPI | 1023882164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLIE HERREN Manager 352-336-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery |
| 2086S0105X Surgery, Surgery of the Hand | |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2024-02-08 |