| NPI | 1174848329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN C CHANG President 561-965-0436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME90015) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2021-05-07 |