| NPI | 1215534011 |
|---|---|
| Doing Business As | IVY SPINE AND ORTHOPEDICS, LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER GATES Practice Manager 850-628-7679 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2021-09-07 |