| NPI | 1366461592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY NEAL SMITH Physician 904-261-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL me66525) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2009-05-05 |