| NPI | 1780873596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MICHAEL STOREY President 941-917-8767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME0059433) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2008-03-29 |