| NPI | 1295769263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL WILLIAM CAPRA President/Owner 850-664-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME94278) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |