| NPI | 1821851189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WEINER Authorized Official 954-919-7706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-04-08 |