| NPI | 1831521756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MATHIS Administrator 863-421-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME72924) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2016-01-19 |