| NPI | 1427104454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE OBHOLZ Business Manager 352-624-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME73474) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: FL OT8468) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2011-04-11 |