| NPI | 1588146526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DEJESUS President 737-747-2293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 207QA0505X Family Medicine, Adult Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208D00000X General Practice | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 2251G0304X Physical Therapist, Geriatrics | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2021-06-14 |