| NPI | 1134554678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP ANDREW PULLEN Owner 813-302-1733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL os9141) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |