| NPI | 1386293215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANTINE A TOUMBIS Owner 352-794-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |