| NPI | 1265807598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD G VALENZUELA Md/Owner 352-284-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2016-05-09 |