NPI | 1124066030 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN COSENTINO Owner 954-772-5556 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL OS 6794) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2007-07-10 |