| NPI | 1275309932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ROSEN Physician/Medical Director 561-509-9382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |