| NPI | 1497483028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE GARCIA Credentialing Director 561-537-4526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2023-02-14 |