| NPI | 1114318326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG BENNETT Mgr 727-868-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 363AS0400X Physician Assistant Surgical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |