| NPI | 1619027786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GRAHAM SELLERS President 850-916-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2008-10-30 |