| NPI | 1457078248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISA MERLO Administration 954-279-2170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-10-24 |