| NPI | 1083104681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO POTO Owner 772-446-4883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2024-04-17 |