| NPI | 1780433698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WISNIEWSKI Do 407-335-6950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2025-06-18 |