NPI | 1588312607 |
---|---|
Doing Business As | JEWETT ORTHOPEDIC INSTITUTE SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | JAN LESLIE DIEDRICH Vice President 321-841-8199 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2022-03-17 |
Last Update Date | 2022-03-17 |