| NPI | 1093957102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL R. NOBACK Managing Member 941-360-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2009-04-03 |