| NPI | 1821369828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC EVAN UMLAS Owner 305-532-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: FL ME0066812) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |