| NPI | 1124219399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN P DUARTE Director 305-278-9677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME82779) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME82779) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |