| 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 |