Organization
FORT PIERCE ORTHOPAEDICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY PICKLER (VP)
(850) 523-2117
Entity
Organization
Contact information
Practice address
1801 S 23RD ST, SUITES 7 AND 8, FORT PIERCE, FL 34950-4830
(772) 465-4651
Mailing address
1801 S 23RD ST, SUITES 7 AND 8, FORT PIERCE, FL 34950-4830
(772) 465-4651
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
09/11/2007
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