| NPI | 1730740218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON L CREECH Credentials Manager 850-475-3726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |