| NPI | 1346723244 |
|---|---|
| Doing Business As | BREVARD SPINE AND REHAB INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | VIJAY KATUKURI Owner 248-707-0920 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-10-10 |