| NPI | 1073299079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDISSON GUAMAN Owner 561-617-0686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-10-11 |