| NPI | 1174745848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGILIO C. BARANGAN Owner 850-477-6323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2011-11-09 |