| NPI | 1407695794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAMS Owner/President 352-775-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-06-05 |