| NPI | 1902038326 |
|---|---|
| Doing Business As | SOUTHLAND SPINE & REHABILITATION MED CTR |
| Entity Type | Organization |
| Authorized Contact | MAX MATOS Medical Doctor 9512-752-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |