| 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 |