| NPI | 1336281773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J TENHOLDER Physician 850-863-2153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME89699) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-03-12 |