| NPI | 1073522876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY M MARTIN Owner Operator 561-733-5888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2023-04-28 |