| NPI | 1003195041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN J TOUHEY Administrator 239-226-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL HCC604281) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2016-01-12 |