| NPI | 1023723707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAULIK K BHALANI Owner 813-388-2948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-01-26 |