NPI | 1215419122 |
---|---|
Doing Business As | BAYSIDE ORTHOPAEDIC, SPORTS MEDICINE & REHABILITATION CENTER |
Entity Type | Organization |
Authorized Contact | RACHEL L ELLIS Credentialing 251-928-2401 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2018-09-06 |
Last Update Date | 2019-04-19 |