NPI | 1205859600 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY ORLANDO DELACRUZ Vice President 786-251-7932 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 103T00000X Psychologist |
111N00000X Chiropractor | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
213E00000X Podiatrist | |
363AM0700X Physician Assistant, Medical | |
225100000X Physical Therapist | |
225X00000X Occupational Therapist | |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2025-09-11 |