| NPI | 1992705487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS ALVAREZ Authorized Official 863-385-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2023-10-31 |