| NPI | 1225414469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT GOLDSMITH President 813-684-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2024-03-13 |