| NPI | 1588907695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY B CASTROVINCI Director Of Operations 954-941-2969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| 111N00000X Chiropractor | |
| 208100000X Physical Medicine & Rehabilitation | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2016-06-13 |