| NPI | 1932729639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON T. MARUCCI CEO 904-503-1065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 111N00000X Chiropractor | |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2023-04-11 |