| NPI | 1073899175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE E BISTLINE President 561-681-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME64772) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |