| NPI | 1023306206 |
|---|---|
| Doing Business As | ORTHOPEDIC INJURY MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | RICKY P LOCKETT Medical Director 727-896-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL OS6109) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2021-02-17 |