| NPI | 1184011496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS R RENTA Physician 561-722-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME73546) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME73546) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2018-07-09 |