| 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 | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2025-10-15 |