| NPI | 1013502285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DEAN DAYTON Billing Mnager 727-900-1326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2024-04-03 |