| NPI | 1043268402 |
|---|---|
| Doing Business As | SOUTHLAKE ORTHOPAEDICS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL FRANCES BLUM President 205-985-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 9307) |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine | |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine | |
| 222Z00000X Orthotist | |
| 224L00000X Pedorthist | |
| 224P00000X Prosthetist | |
| 225000000X Orthotic Fitter | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 2471M1202X Radiologic Technologist Magnetic Resonance Imaging | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-02-10 |