| NPI | 1851866990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE LUIS ORTEGA President 561-229-3744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2019-12-09 |