| NPI | 1225675804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY ROSARIO Practice Manager 561-495-9511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2024-09-30 |