| NPI | 1902477698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA GORKEN VP, PFS 727-281-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2021-07-05 |