| NPI | 1285765040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A FLAHERTY Owner 727-528-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL OS9206) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL OS 4884) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS9216) | |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA910479) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2017-02-14 |