| NPI | 1013105303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS LAFIELD PACHECO President 954-549-6580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL AP1515) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: FL AP1515) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |