| NPI | 1225163413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MONTANO Office Manager 352-597-7802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 225100000X Physical Therapist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2009-01-27 |