| NPI | 1669598538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN D BLACK President 407-248-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: FL ME92118) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2011-11-30 |