| NPI | 1649516717 |
|---|---|
| Doing Business As | GEORGIY BRUSOVANIK |
| Entity Type | Organization |
| Authorized Contact | JASON TOCCI CEO 954-410-5194 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: HI MDR-4545) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |