Trauma & Specialty Surgery

NPI 1275667057 - Surgery - 2086S0129X

NPI Details
NPI 1275667057
Enumeration Date 03/15/2007
Last Updated 02/02/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LORI LORI
Position OFFICE MANAGER
Phone (772) 429-0300
Fax (772) 468-7148
Practice Location
2401 FRIST BLVD
SUITE 6
FORT PIERCE FL, 34950-4839, US
Phone (772) 429-0300
Fax (772) 468-7148
Business Location
2401 FRIST BLVD
SUITE 6
FORT PIERCE FL, 34950-4839, US
Phone (772) 429-0300
Fax (772) 468-7148
Toxanomy
Taxonomy Code 2086S0129X
License State Florida
License Number ME65570
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According to our database, Trauma & Specialty Surgery NPI is 1275667057, taxonomy code is 2086S0129X and license number is ME65570, license state is located at Florida. Trauma & Specialty Surgery physically located at 2401 Frist Blvd, Fort Pierce FL, 34950-4839. NPI Number 1033115704 has the healthcare provider type.

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1275667057 NPI number is provided on an as is basis without warranty of any kind. 1275667057 is maintained by the National Plan & Provider Enumeration System. The contents of Trauma & Specialty Surgery are for informational purposes only.