| NPI | 1578880324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCAS JEREMY BADER President 305-992-4075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CA A112030) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2011-02-02 |