| NPI | 1841966934 |
|---|---|
| Other Name | 200 HIBISCUS |
| Entity Type | Organization |
| Authorized Contact | LORA MORSE VP Professional Fee Services 321-434-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |