| NPI | 1376020743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD V HUDANICH Managing Member 407-977-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2023-04-20 |