NPI | 1861945677 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDER JOHN MARTINEZ Medical Director 239-344-9926 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME118705) |
Enumeration Date | 2016-07-27 |
Last Update Date | 2016-07-27 |