| NPI | 1215433644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C MCLOUGHLIN Owner 850-815-7338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME100011) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2021-09-07 |