| NPI | 1689044687 |
|---|---|
| Doing Business As | PBAU SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MICHELLE MENARD Athletic Training Administrator 561-803-2338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2024-10-10 |