| NPI | 1427615335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN KOWALSKI Owner 954-300-7688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2019-05-26 |
| Last Update Date | 2019-08-23 |