Provider Demographics
NPI:1205088341
Name:JOINT REPLACEMENT INSTITUTE LLC
Entity type:Organization
Organization Name:JOINT REPLACEMENT INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SOLE MEMBER LLC
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:K
Authorized Official - Last Name:BIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:239-261-2663
Mailing Address - Street 1:3466 PINE RIDGE RD STE A
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-3883
Mailing Address - Country:US
Mailing Address - Phone:239-261-2663
Mailing Address - Fax:239-262-5633
Practice Address - Street 1:3466 PINE RIDGE RD STE A
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-3883
Practice Address - Country:US
Practice Address - Phone:239-261-2663
Practice Address - Fax:239-262-5633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9961207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL93183OtherBCBS
FL6175200001Medicare NSC
FLH39080Medicare UPIN
FL93183OtherBCBS