| NPI | 1497161228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL HARRIS President 954-838-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2019-09-13 |