| NPI | 1972028884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE GRAVERAN Manager 305-677-9723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2025-01-14 |