NPI | 1750555777 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT B DEHGAN CEO/Owner 904-247-1919 |
Organization Subpart ? | No |
Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: FL ME 16903) |
Enumeration Date | 2008-04-22 |
Last Update Date | 2010-03-12 |