| NPI | 1609444728 |
|---|---|
| Doing Business As | DIVINE ORTHOPEDICS AND SPINE LLC |
| Entity Type | Organization |
| Authorized Contact | JORDAN KUPPINGER Sole Member 561-699-6373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-06-15 |