| NPI | 1750913141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGIDA FENELON Billing/Credentialing 954-241-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2025-09-12 |