| NPI | 1174665830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE I MACEY Physician 850-863-2153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME44008) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-04-28 |