Healthcare Provider Details

I. General information

NPI: 1205088341
Provider Name (Legal Business Name): JOINT REPLACEMENT INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 01/18/2021
Certification Date: 01/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3466 PINE RIDGE RD STE A
NAPLES FL
34109-3883
US

IV. Provider business mailing address

3466 PINE RIDGE RD STE A
NAPLES FL
34109-3883
US

V. Phone/Fax

Practice location:
  • Phone: 239-261-2663
  • Fax: 239-262-5633
Mailing address:
  • Phone: 239-261-2663
  • Fax: 239-262-5633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberOS9961
License Number StateFL

VIII. Authorized Official

Name: HENRY K BIGGS
Title or Position: OWNER, SOLE MEMBER LLC
Credential: D.O.
Phone: 239-261-2663