| NPI | 1306015359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN CIRIECO Practice Administrator 941-955-1231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2012-03-12 |