NPI | 1295593150 |
---|---|
Entity Type | Organization |
Authorized Contact | HUMBERTO PORRATA NIEVA Owner 561-436-5904 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2024-03-06 |
Last Update Date | 2024-03-06 |