| NPI | 1114003845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO RENNELLA Owner 561-737-1947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |