| NPI | 1386916237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTO W. KOULISIS President 850-279-6485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME0053933) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME0053933) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2022-12-29 |