| NPI | 1619013851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RICCHINI Executive Director 904-346-3465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| 2086S0105X Surgery, Surgery of the Hand | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2019-01-08 |