| NPI | 1770108110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA CERRA Office Manager 786-264-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2022-03-18 |