| NPI | 1841720935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN WITT Owner/President 239-325-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL OS12609) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2022-07-21 |