| NPI | 1205212255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL S GOODKIN Biller 954-202-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: FL ME983636) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |