NPI | 1053631382 |
---|---|
Entity Type | Organization |
Authorized Contact | BODO PYKO Physician 407-622-7640 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL OS1683) |
Enumeration Date | 2010-06-09 |
Last Update Date | 2010-06-09 |