NPI | 1609986595 |
---|---|
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 | 2006-08-30 |
Last Update Date | 2010-01-22 |