| NPI | 1003684697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BAILEY Credentialing 850-226-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |