| NPI | 1972761930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYLON OPIE Owner 727-796-5891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |