| NPI | 1033972062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY WHITE COO 954-482-3501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic |
| 261QP3300X Clinic/Center Pain | |
| 261QR0200X Clinic/Center Radiology | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-01 |