| NPI | 1386065217 |
|---|---|
| Doing Business As | SPORTS ORTHO, LLC |
| Entity Type | Organization |
| Authorized Contact | DAVID PALKOVICH CEO 941-730-4965 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |