| NPI | 1114114303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEMANT SHAH President/ Owner 904-268-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME95262) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2010-12-21 |