| NPI | 1134467376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK ALVAREZ Managing Member 386-248-0107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL me31437) |
| Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: FL me86688) |
| 208100000X Physical Medicine & Rehabilitation (Licence: FL ME98460) | |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-09-23 |