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Physicians Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery

Provider NPI: 1144296377

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 407-254-2500  Fax: 407-254-2557

Business Mailing Address:
Tel: 407-254-2500  Fax: 407-254-2557

NPI Information:
NPI: 1144296377
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Orthopaedic Surgery
Adult Reconstructive Orthopaedic Surgery

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207XS0114X





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