| NPI | 1922514165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI JUNE KOBAKOF Manager 727-501-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207T00000X Neurological Surgery | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2018-01-10 |