| NPI | 1255619706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIO NASCIMENTO Manager 954-993-6727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |