| NPI | 1700031812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFAN LUCIAN STANESCU Owner 904-797-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME0076144) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL ME0076144) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2011-02-17 |