| NPI | 1477832897 |
|---|---|
| Other Name | ORTHO SPORT GROUP |
| Entity Type | Organization |
| Authorized Contact | KERRIE BROOKS Co Owner 561-328-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL PT19952) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-30 |