| NPI | 1558629527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MANDUME KERINA President 352-326-8115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2012-10-05 |