| NPI | 1861483158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHARLES NORDT President 305-662-2851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: FL ME 34439) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2013-10-30 |