| NPI | 1053363457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIAN SAJAN Owner 407-622-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME109651) |
| 291U00000X Clinical Medical Laboratory (Licence: FL 800025838) | |
| 3336C0002X Pharmacy, Clinic Pharmacy (Licence: FL PH24372) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2025-05-12 |