| NPI | 1346277860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE GLENN Office Manager 850-678-2678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME0063572) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2010-12-01 |