NPI | 1336526029 |
---|---|
Entity Type | Organization |
Authorized Contact | LI J VOEPEL President 321-821-6893 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME85032) |
Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: FL ME85032) |
Enumeration Date | 2015-05-01 |
Last Update Date | 2022-07-21 |