| NPI | 1467621003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LYNN HASELTINE CEO 904-823-3764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL OS7217) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2010-01-06 |