| NPI | 1942397005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J FORNESS President 305-285-3427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: FL ME71975) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2007-08-21 |