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Physicians Neuromusculoskeletal Medicine, Sports Medicine

Provider NPI: 1043278948

Provider Information:
Gender: M
Sole Proprietor

Practice Location:
Tel: 954-300-2482  Fax: 954-300-2482

Business Mailing Address:
PO BOX 268735  WESTON, FL 33326-8735 US
Tel: 954-300-2482  Fax: --

NPI Information:
NPI: 1043278948
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Neuromusculoskeletal Medicine, Sports Medicine
FLME 24909
Family Medicine
FLME 24909
Orthopaedic Surgery
FLME 24909

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207X00000X





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