| NPI | 1851574149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY T HAIMES Owner 954-753-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL 49462) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 49462) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2008-03-17 |