NPI | 1821219155 |
---|---|
Entity Type | Organization |
Authorized Contact | MARSHALL STAUBER Owner 954-272-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
Additional Taxonomies | 111N00000X Chiropractor |
171100000X Acupuncturist | |
208100000X Physical Medicine & Rehabilitation | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2015-05-18 |