| NPI | 1427078633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED ROBERT MASSAM Doctor 863-385-3611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: FL ME0016216) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2019-03-01 |