| NPI | 1366865297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL HARRIS President 954-838-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2019-09-13 |