| NPI | 1548777543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A. CERECEDA Owner 305-888-5280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor Orthopedic (Licence: FL CH7764) |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |