| NPI | 1740004753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE ADAMS Administrator 727-203-1023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| 2084P0301X Psychiatry & Neurology Brain Injury Medicine | |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-12-19 |