| NPI | 1386786838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE L MURRAY Practice Manager 239-432-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: FL OS4993) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |