| NPI | 1235430513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ROUSH Owner 561-531-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME105711) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |