| NPI | 1104277623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MANZANARES Physician/Surgeon 407-440-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME82479) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2019-08-27 |