| NPI | 1194173260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL A JOSEPH Owner/President 727-202-5093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME101718) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2017-01-13 |