| NPI | 1659681575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA MEDINA Office Manager 407-333-4548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: FL ME0055612) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2023-03-13 |