| NPI | 1912462441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DAVIS M.D. 813-994-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2024-02-23 |