| NPI | 1104254655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD A. ROLLMAN Clinic Director 321-320-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2013-10-20 |
| Last Update Date | 2022-08-30 |