| 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 |