| NPI | 1184861148 |
|---|---|
| Doing Business As | OUTPATIENT PAIN & WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN CLEMENTS President 813-874-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: FL CH7977) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |