NPI | 1841463601 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT B DEHGAN CEO/ Owner 904-794-9180 |
Organization Subpart ? | No |
Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: FL me16903) |
Enumeration Date | 2008-04-11 |
Last Update Date | 2009-09-02 |