| NPI | 1275752008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM F BENNETT President 941-953-5509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-07-14 |