| NPI | 1154895811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANIE MARIE MORAN Manager 561-990-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2023-03-07 |