| NPI | 1538033840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCAS BRANE Chief Executive Officer 346-988-2407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |