| NPI | 1205012325 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | NNAMDI NWAOGWUGWU President 407-291-3077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL Me76735) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2011-02-21 |