| NPI | 1922195171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J PARAISO Owner/Provider 352-873-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: FL OS9151) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-10-05 |