| NPI | 1205859600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ORLANDO DELACRUZ Vice President 786-251-7932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 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 | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |