| NPI | 1134571128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSEN MUKALEL President 813-513-8477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2018-07-31 |