| NPI | 1427465145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DAVID HEEKIN President 904-634-0640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: FL ME49020) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |