| NPI | 1215014097 |
|---|---|
| Doing Business As | BAYSIDE ORTHOPAEDIC, SPORTS MEDICINE & REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | RACHEL L ELLIS Office Manager 251-928-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-04-23 |