| NPI | 1225029705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAYRON MALGOR Owner 305-484-9205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME86935) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH7589) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2022-05-19 |