| NPI | 1841297538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PAMELA REGISTER Office Manager 352-401-3127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2008-05-23 |