| NPI | 1508384165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIONEL DIAZ President 786-409-7430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2022-07-21 |