| NPI | 1144284811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J. POWERS President 772-335-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2018-03-23 |