NPI | 1417251034 |
---|---|
Doing Business As | NORTHSIDE ORTHOPAEDICS |
Entity Type | Organization |
Authorized Contact | STEPHANIE PORTALES Office Manager 813-960-1655 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME60554) |
Enumeration Date | 2010-12-23 |
Last Update Date | 2012-01-12 |