| NPI | 1053701359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS E KORTRIGHT President 813-871-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: FL ME50767) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2019-03-26 |