| NPI | 1508264938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOHTY M BRADLEY President 813-833-1028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: FL ME87576) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |