| NPI | 1962841247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN SUAREZ Office Manager 305-251-3991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-21 |