| NPI | 1730238718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY PETER MORENO President 727-669-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2018-03-17 |