| NPI | 1013291517 |
|---|---|
| Doing Business As | SPINE AND JOINT PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | HEMANT SHAH CEO 904-830-4083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: FL ME95262) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |