NPI | 1285175125 |
---|---|
Doing Business As | SPORTS MEDICINE GROUP |
Entity Type | Organization |
Authorized Contact | CARLA M VELEZ-COUTO Mgr 305-487-3040 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME110485) |
Enumeration Date | 2017-03-11 |
Last Update Date | 2024-04-04 |