| NPI | 1811264328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KILEY JOSEPH REYNOLDS President 305-575-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: FL OS10004) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |