| NPI | 1265130058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN SMITH Owner 561-573-2127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2024-07-31 |