| NPI | 1578043998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADY EL-BAHRI Md 904-388-3351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME46697) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |