| NPI | 1225342553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CONNAR HENDERSON Owner/Operator 813-879-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL me0036678) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |