| NPI | 1912367426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S LANDRY Managing Partner 786-233-8722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: FL OS9686) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |