| NPI | 1376773382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN KONDAS Officer 954-838-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2019-09-24 |