| NPI | 1376704775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIETTE S CORTES Owner 305-394-8594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: ME89140) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME89140) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2009-08-21 |