| NPI | 1548560733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DEAN KORNHABER Medical Director 954-499-4143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL FLOS4139) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL FLOS4139) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |