| NPI | 1184945917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIPUL PATEL Managing Partner 904-743-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |