| NPI | 1265622203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALORA GURGANIOUS Office Manager 321-255-9310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME69853) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |