| NPI | 1225817117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGIANE GOELZ Owner 954-670-3221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RN0300X Internal Medicine, Nephrology | |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2024-09-10 |