| NPI | 1407892938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELFORD GREGGS CEO 850-785-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2025-12-01 |