| NPI | 1700100179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALCOLM CHRISTOPHER MACLAREN Partner 813-855-8450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL OS8857) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME100433) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |