| NPI | 1942513213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN GOULET CEO 305-690-9784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL OS 9465) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |