MISSISSIPPI ORTHOPAEDIC INSTITUTE is a non pharmacy dispensing site in Gulfport, MS. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) MISSISSIPPI ORTHOPAEDIC INSTITUTE NPI is 1295161404. The provider is registered as an organization entity type.
The provider's business location address is:
15190 COMMUNITY RD STE 120
GULFPORT, MS
ZIP 39503-484
Phone: (228) 328-2400
Fax: (228) 328-4200
The provider's authorized official is Robert Lance Johansen .
The authorized official title is Owner and has the following contact phone number (228) 328-2400.
The enumeration date for this NPI number is 9/19/2013 and was last updated on 9/19/2013.