| NPI | 1689053092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ITTIG Administrator 727-568-6840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2019-05-06 |