| NPI | 1225981012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRAZZLE Director 954-918-7303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand |
| Enumeration Date | 2026-02-19 |
| Last Update Date | 2026-02-20 |