NPI | 1134510688 |
---|---|
Doing Business As | FAU SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | MOUZON BASS Agent 800-555-9073 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2015-02-05 |
Last Update Date | 2015-02-05 |