| NPI | 1124263660 |
|---|---|
| Former Legal Business Name | BRAIN AND SPINE NEUROSURGERY, LLC |
| Entity Type | Organization |
| Authorized Contact | YONAS ZEGEYE President 772-220-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |