| NPI | 1891423836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MORGAN Administrator 561-267-1817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| 261QP1100X Clinic/Center, Podiatric | |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2023-06-15 |