| 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 |