| NPI | 1760722615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY G. GANTT President 813-281-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| 207T00000X Neurological Surgery | |
| 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery | |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine | |
| 207Y00000X Otolaryngology | |
| 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine | |
| 208200000X Plastic Surgery | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| 208600000X Surgery | |
| 2086S0127X Surgery Trauma Surgery | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2019-01-31 |