| NPI | 1073006060 |
|---|---|
| Doing Business As | PONTE VEDRA SPINE AND PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | ELI STEVEN LOCH Owner 352-214-2247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2023-12-16 |