| NPI | 1346737749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY CERECEDA Owner/CEO 305-888-5280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: FL ME-31217) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2020-12-14 |