Fort Pierce Orthopaedics LLC
Orthopaedic Surgery in Fort Pierce, FL. Organization (NPI-2).
NPI number1639246234
StatusActive
Last updated in NPPESSep 11, 2007
Details
- NPI
- 1639246234
- Entity type
- Organization (NPI-2)
- Legal business name
- Fort Pierce Orthopaedics LLC
- Organization subpart
- No
- Enumeration date
- Nov 29, 2006
- Last updated
- Sep 11, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | – | Yes |
Practice location
1801 S 23rd StSuites 7 And 8
Fort Pierce, FL 34950-4830
Phone 772-465-4651
Mailing address
1801 S 23rd StSuites 7 And 8
Fort Pierce, FL 34950-4830
Phone 772-465-4651
Authorized official
Mickey Pickler
Vp
8505232117
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