NPI | 1316351372 |
---|---|
Doing Business As | 3D SPORTS MEDICINE & ORTHOPAEDIC CENTER |
Entity Type | Organization |
Authorized Contact | DAVID E DOMINGUEZ Owner 321-610-8939 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME110378) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME110378) |
Enumeration Date | 2014-06-18 |
Last Update Date | 2023-11-03 |