| NPI | 1134846066 | 
|---|---|
| Other Name | MATRIX SPINE AND SPORTS MEDICINE, LLC | 
| Entity Type | Organization | 
| Authorized Contact | DENNIS BONNEAU Member Manager 954-228-8486  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic | 
| Enumeration Date | 2022-10-21 | 
| Last Update Date | 2022-10-21 |