| NPI | 1184307456 |
|---|---|
| Doing Business As | PORT ST. LUCIE PAIN & MEDICAL INSTITUE |
| Entity Type | Organization |
| Authorized Contact | RICARDO J. SIMMONS Manager 954-900-4686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2024-03-15 |