| NPI | 1184626079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P PEDEN President 772-569-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2024-03-18 |