| NPI | 1275899254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIO VICO Principal 561-533-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME103348) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME52935) |
| 111N00000X Chiropractor (Licence: FL CH10580) | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2013-06-05 |