| NPI | 1922578566 |
|---|---|
| Other Name | ORTHOCOLLIER |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN LEACH Director, Credentialing 239-449-3072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2024-02-15 |