| NPI | 1669124665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT GOLDSMITH President 813-684-2663 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 213E00000X Podiatrist | |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2024-10-22 |