| NPI | 1063277648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO MOREL Administrator 954-868-7915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-02-14 |