| NPI | 1013074897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PABLO CONCEPCION Owner/Physician 850-494-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2022-08-31 |