| NPI | 1518793017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA GOMEZ Owner 305-705-4603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |