NPI | 1033507330 |
---|---|
Doing Business As | JPLRC, LLC |
Entity Type | Organization |
Authorized Contact | MATTHEW HARRIS Medical Director, Sole Proprietor 347-891-1546 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME111506) |
Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: FL ME111506) |
Enumeration Date | 2015-01-08 |
Last Update Date | 2018-04-30 |