| NPI | 1851079677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY ROSARIO Manager 561-495-9511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-03-12 |