| NPI | 1407182819 |
|---|---|
| Doing Business As | ORTHOPAEDIC ASSOCIATES OF BREVARD |
| Entity Type | Organization |
| Authorized Contact | SANDI LAROCHE Mso Credentialing Coordinator 321-449-4168 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME93258) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |