| NPI | 1578254389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BERLIN CEO 904-396-1725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-05-15 |