| NPI | 1487531786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTLE MARTIN CFO 954-473-7420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |