NPI | 1164984720 |
---|---|
Doing Business As | ADVANCED ORTHOPEDIC AND SPORTS MEDICINE INSTITUTE |
Entity Type | Organization |
Authorized Contact | DANE TRASK CEO 813-787-1128 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
Enumeration Date | 2019-04-03 |
Last Update Date | 2019-04-03 |