| NPI | 1114137114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOSEPH DERBES President 850-913-8996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME48177) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-04-24 |