| NPI | 1689721045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CROCE STEPHEN PATTI CEO 941-954-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME70272) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME86466) |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: FL ME86466) | |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: FL ME70272) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: FL ME86466) | |
| 208200000X Plastic Surgery (Licence: FL ME70272) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: FL ME86466) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL ME86466) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |