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 |