| NPI | 1215356720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D SHORTT CEO 941-488-5224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2014-04-11 |