| NPI | 1073409629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELO DANIEL EGUINO VP 727-809-0377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2025-06-17 |