| NPI | 1306116009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK S ALVAREZ Managing Member 386-248-0107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME86688) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: FL ME42566) |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: FL ME98460) | |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2013-10-31 |