| NPI | 1275046831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS M STARACE President 786-360-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: FL ME98453) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: ME98453) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |