| NPI | 1568601862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE COLLAR Office Manager 727-697-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 225100000X Physical Therapist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2019-11-05 |