| NPI | 1982816153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE EATON Owner 561-746-7686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME0053188) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-11-05 |