| NPI | 1093862062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE R VILLARREAL Managing Mbr 863-299-1231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME0054730) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |