| NPI | 1881040608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KOLBERT Vice President 954-703-2933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2021-06-30 |