| NPI | 1104975671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN CIMAGLIA Mgr 954-776-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL OS0006863) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-05-23 |