| NPI | 1386077287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMELDA GRAY Office Manager 850-934-7545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2018-12-18 |