| NPI | 1104029081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER F GONZALEZ Administrator 305-933-0626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2015-04-13 |