| NPI | 1942006275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC J LEWIS Mgr 305-937-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma | |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |