| NPI | 1568536282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J GOBERVILLE President 954-942-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL 38853A) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-09-25 |