NPI | 1194345520 |
---|---|
Entity Type | Organization |
Authorized Contact | HAITAO ZHANG President 904-718-6929 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Additional Taxonomies | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine |
2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine | |
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
208100000X Physical Medicine & Rehabilitation | |
2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine | |
Enumeration Date | 2020-04-27 |
Last Update Date | 2022-02-22 |