| NPI | 1962737619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE A FLORES Gm 954-454-2870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic |
| 111NR0200X Chiropractor, Radiology | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |