| NPI | 1003103276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA LIDIA ZULOAGA Billing And Credentialing 786-519-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: FL ME 110115) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2025-02-11 |