| NPI | 1063441731 |
|---|---|
| Doing Business As | PRO SPORTS |
| Entity Type | Organization |
| Authorized Contact | AMANDA P MULLIKIN Admin Assistant 772-978-7808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-08-10 |