| NPI | 1396887204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R MARSHALL Physician 850-863-2153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME35510) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-05-30 |