| NPI | 1780914960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN S GOLDBERG Owner 239-348-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 6377460001) |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2022-02-01 |