| NPI | 1174065155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGI YOUSSEF Owner 321-356-1454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2023-11-28 |