| 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 |