| NPI | 1457458317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI SUE SHARPE Practice Administrator 863-666-3436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME76265) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-07-28 |