| 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 |