NPI | 1629378005 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL D YOUNG President 904-230-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME 96716) |
Enumeration Date | 2010-11-01 |
Last Update Date | 2012-06-29 |