| NPI | 1487624771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRYSTAL A. HERRERA Credentialing Coordinator 305-218-6965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2024-09-24 |