| NPI | 1699150078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN REECE Manager 850-449-2290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX P6509) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME121771) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OH 126131) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AL MD30191) | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |