NPI | 1144649823 |
---|---|
Doing Business As | ADVANCED INTERVENTIONAL PAIN CLINIC |
Entity Type | Organization |
Authorized Contact | CHERIAN SAJAN Owner 407-622-5766 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME98251) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME98251) |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME98251) | |
Enumeration Date | 2014-04-10 |
Last Update Date | 2016-08-08 |