| NPI | 1043388374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY RICHARD SOLORIO President Owner 256-318-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 13433) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 13433) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2013-12-29 |