| NPI | 1639434038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY N ATALLA Manager 561-509-9382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL PMC 1223) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-12 |