| NPI | 1376385914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HOMMEN Business Manager 305-596-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery | |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |