| NPI | 1023496452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GLEIS Owner 813-510-4970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: FL ME 113016) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: FL OS11139) |
| 207X00000X Orthopaedic Surgery (Licence: FL ME109696) | |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-07-06 |