| NPI | 1033360441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER C. RECKSIEDLER Mp 407-382-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME49756) |
| Additional Taxonomies | 111NR0400X (Licence: FL CH6418) |
| 111NR0400X (Licence: FL CH9595) | |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2008-10-03 |