| NPI | 1750614996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE A SHIREY Executive Director 941-917-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2018-04-16 |