| NPI | 1295381119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON WHEELER Practice Manager 727-823-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |