| NPI | 1770354805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD A KERN President 305-466-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |