| NPI | 1548848310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YENNISLEYDI JIMENEZ Admin 561-412-9373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2022-05-04 |