| NPI | 1275051666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS S DEL RIO Owner 407-931-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9582) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME87536) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME87536) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME87536) | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-07-21 |