| NPI | 1033751250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYNE JOHNSON Owner 407-413-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |