| NPI | 1609493816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANE TRASK CEO 813-787-1128 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-07-03 |