| NPI | 1639351398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY R. PADGETT Sole Proprietor 863-318-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME75825) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2012-02-29 |