| NPI | 1891742938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DELACRUZ Vice President 305-265-9686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207LP2900X Anesthesiology Pain Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 2084P2900X Psychiatry & Neurology Pain Medicine | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-11-19 |