| NPI | 1194826255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL L. KING President 321-956-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2015-07-17 |