| NPI | 1548567191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATARIA BRIDGES-MOSS Office Manager 305-685-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |