| NPI | 1700095130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL A CASTRO President 772-288-6558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME25001) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME 25001) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |