| 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 |