| NPI | 1073932570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D SHORTT CEO 941-782-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME67392) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2014-04-11 |