| NPI | 1194251611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER J MARTINEZ Owner 305-979-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: FL ME 118705) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |