NPI | 1518755255 |
---|---|
Doing Business As | ELITE SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | DANE TRASK Of CEO 813-787-1128 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
Enumeration Date | 2025-04-30 |
Last Update Date | 2025-04-30 |