| NPI | 1487908893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC K GROTEKE Member 727-474-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME54499) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME46811) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |