| NPI | 1184106197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER SPENCER Doc 352-267-9170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME60172) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |