| NPI | 1083870604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL P MOYNIHAN Managing Member 352-556-4823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME101245) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2010-04-15 |