| NPI | 1164977534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT WILLIAM GILLESPY President 386-255-4596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2024-08-02 |