| NPI | 1174615918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK LEELAND GREIDER President 904-733-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME27693) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-10-26 |