| NPI | 1659567303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE GRUENWALD Practice Manager 352-331-3401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2008-10-31 |