| NPI | 1295156941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT N PUCKETT Physician/Authorized 904-349-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2022-12-12 |