| NPI | 1619439320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE GARCIA Credentialing Director 561-578-4582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2023-02-14 |