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 |