| NPI | 1689949224 |
|---|---|
| Doing Business As | SPORTS ORTHO LLC |
| Entity Type | Organization |
| Authorized Contact | SHATINA CANNON Manager 561-826-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2013-09-06 |