| NPI | 1467071829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC G KIM Owner 904-868-5716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-05-27 |