| NPI | 1821195058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA RABE-TAGALA Physician/Owner 863-646-7754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: FL ME 0028722) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-06-21 |