| NPI | 1932435922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL LAZO Medical Director 305-409-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: FL ME0034107) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |