| NPI | 1730375346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEWART G EIDELSON Owner 561-742-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: FL ME55593) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2009-11-13 |