| NPI | 1568528032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R KENNEDY Managing Partner 941-365-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery |
| 208100000X Physical Medicine & Rehabilitation | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2019-01-08 |