| NPI | 1174621114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE WICKSTROM-HILL Md/President 352-867-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL OS0006374) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2014-04-11 |