| NPI | 1043518772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CARROZZELLA Owner 813-659-2897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME58908) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2012-08-07 |