| NPI | 1124058854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HASHIM Md/Owner 727-861-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME74355) |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: FL ME74355) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2013-08-28 |