| NPI | 1295248854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS M STARACE Registered Agent 786-360-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |