| NPI | 1790189447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SAVAGE Contracting/Credentialing Director 407-649-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME87792) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2017-10-04 |