| NPI | 1043556186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK A GRANA Owner 813-935-1284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME0066670) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |