Organization
MESSIEH ORTHOPEDIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA ROMAN (BILLING CLERK)
(863) 419-9301
Entity
Organization
Contact information
Practice address
1601 6TH ST SE, WINTER HAVEN, FL 33880-4605
(863) 419-9301
(863) 419-9304
Mailing address
1601 6TH ST SE, WINTER HAVEN, FL 33880-4605
(863) 419-9301
(863) 419-9304
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
ME54966
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC 8324
MEDICARE RAIL ROAD
FL
Enumeration date
05/10/2007
Last updated
08/26/2013
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