| NPI | 1164739553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RYAN WALKER President 305-603-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 111NI0013X Chiropractor Independent Medical Examiner |
| 207Q00000X Family Medicine | |
| 207QA0505X Family Medicine Adult Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 208VP0000X Pain Medicine Pain Medicine | |
| 261QP3300X Clinic/Center Pain | |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |