| NPI | 1740662410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS A DIAZ Owner 941-809-5794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-25 |