| NPI | 1386687499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE A EVANS President 305-274-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME47564) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME36255) |
| 207X00000X Orthopaedic Surgery (Licence: FL ME22368) | |
| 213E00000X Podiatrist (Licence: FL PO2781) | |
| 363A00000X Physician Assistant (Licence: FL PA3551) | |
| 207X00000X Orthopaedic Surgery (Licence: FL ME96926) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-04-20 |