| NPI | 1396178273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BASSETT-IPPOLITO Managing Member 561-747-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |