| NPI | 1083075352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ISENALUMHE Owner 352-515-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: FL ME123669) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2021-07-27 |