| NPI | 1104366939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN WEISS CEO & President 239-436-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |