| NPI | 1780036632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARDO LEANO Owner; Md 561-248-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2016-08-07 |