| NPI | 1366884496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEE LEIANN RAY President 352-243-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME0037707) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-12-10 |