| NPI | 1346273166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN EVERETT GOODWILLER President 850-763-6179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME0050344) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-03-20 |