| NPI | 1366797359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANNE OUELLETTE Director/Owner 786-261-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME42477) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2016-01-14 |