NPI | 1134405467 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE MICHAEL FISCHER Manager 561-392-1333 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: FL 6527) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
Enumeration Date | 2011-11-01 |
Last Update Date | 2011-11-01 |