| NPI | 1265623938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L;AURIE DEBORAH BRITT Credentialing Coordinator 321-725-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: FL PO01949) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2009-03-11 |