Organization Name: | JPLRC |
NPI Number: | 1033507330 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHEW HARRIS (MEDICAL DIRECTOR, SOLE PROPRIETOR) |
Mailing Address: | 108 Intracoastal Pointe Dr Jupiter |
State: | FL US |
Postal Code: | 334775036 |
Phone Number: | 5615294494 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2015 |
NPI Last Update Date: | 01/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207XP3100X |
License Number: | ME111506 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Orthopaedic Surgery |
Taxonomy Specialization: | Pediatric Orthopaedic Surgery |
Taxonomy Definition: | An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |