| NPI | 1780635557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CLOUGH Practice Manager 772-213-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL me65456) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-05-06 |