| NPI | 1003125113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M CARPENTER President 954-661-7580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL HCC7909) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |