| NPI | 1831618222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PADMAJA RANI YATHAM Medical Director 786-780-1800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2017-09-17 |
| Last Update Date | 2023-12-26 |