| NPI | 1760780779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA BRADLEY-GUENTHER Director Of Clinical Information 239-461-3691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |