| NPI | 1912975780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP RANDALL LOZMAN President 305-674-5956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME58688) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-08-22 |