| NPI | 1356635965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN EDSON Owner 954-661-8602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: GA 023877) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-12-22 |