| NPI | 1356139000 |
|---|---|
| Doing Business As | ELITE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DANE TRASK Of CEO 813-787-1128 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-04-30 |