| NPI | 1356745046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R HICKS President 954-838-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2019-09-11 |