| NPI | 1376768580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM ROGOZINSKI Chief Operating Officer 904-733-3529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |