| NPI | 1831269638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY DAVID LOWELL Principal 352-390-6582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: FL ME0065629) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-03-24 |