| NPI | 1700085735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM P. COONEY Officer 772-978-7808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME 91212) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2009-07-14 |