| NPI | 1821789066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC LEVINE Manager 772-485-8805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |