| NPI | 1649296088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKEY PICKLER Vice President 850-523-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2012-10-19 |