| NPI | 1619298544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN VIA Mgrm 561-368-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL os007183) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |