NPI | 1053760181 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER WALKER CEO 407-434-7242 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
Additional Taxonomies | 207R00000X Internal Medicine |
208VP0000X Pain Medicine Pain Medicine | |
Enumeration Date | 2016-06-09 |
Last Update Date | 2021-12-10 |