| NPI | 1740113463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRAZZLE Director 786-687-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2026-06-03 |
| Last Update Date | 2026-06-29 |