| NPI | 1366983678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN D BURKE Provider/Owner 727-623-9692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL 74178) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |