| NPI | 1841063187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROYNEL MATOS Director 786-838-2685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-11-01 |