| NPI | 1124155783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ARCHIE Billing Manager 850-863-2153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2023-08-14 |