| NPI | 1477668291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRATHIMA MOORTHY President 239-593-9599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME 056744) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2017-06-07 |