| NPI | 1184609851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY H NELSON Administrative Assst 727-568-6842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2023-05-01 |