| NPI | 1174025720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMELLA FERNANDEZ President 239-337-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME126810) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME126810) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2020-05-29 |