| NPI | 1235828914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HOMMEN Business Manager 305-596-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2024-05-08 |