| NPI | 1205279882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND M BLEDAY Owner 850-257-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME105356) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL ME105356) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-04-12 |