| NPI | 1346298023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J RICCHINI Executive Director 904-346-3465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 171100000X Acupuncturist | |
| 207RS0010X Internal Medicine, Sports Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 2086S0105X Surgery, Surgery of the Hand | |
| 225100000X Physical Therapist | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-03-03 |