| NPI | 1154867174 |
|---|---|
| Doing Business As | PHYSIORENOVO |
| Entity Type | Organization |
| Authorized Contact | LUIS ALBERTO NARCISO President 786-972-2643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL OS11757) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |