| NPI | 1013383835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARDY D MARCELIN CEO 561-469-2635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL me97529) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME97529) |
| Enumeration Date | 2015-08-16 |
| Last Update Date | 2015-08-16 |