| NPI | 1326898503 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CARIANNE YANTZ Assistant Admin 561-507-0800 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | 
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma | 
| Enumeration Date | 2024-03-22 | 
| Last Update Date | 2024-03-22 |