| NPI | 1447006408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN KELLIN Partner 727-743-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |