| NPI | 1063227239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SLOBASKY Owner 772-419-9123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |