| NPI | 1023194032 |
|---|---|
| Doing Business As | CENTER FOR SPINE PAIN |
| Entity Type | Organization |
| Authorized Contact | ANGELO FONTE Owner 941-256-3875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME78804) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2009-03-17 |