| NPI | 1669588737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN R MOFFIT Administrator 727-848-4249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL 060345193) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |