| NPI | 1174369268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAIVALYA VYAS Owner/Manager 954-361-4046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2025-07-04 |