| NPI | 1093388217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA WARNICK Administrator 321-432-5480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2021-07-24 |
| Last Update Date | 2021-07-24 |