| NPI | 1033309570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE GARI Chief Administrative Officer 813-549-2134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME85974) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2025-11-19 |