| NPI | 1205022076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY A GRISWOLD President 941-748-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME67865) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: FL ME67865) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2011-01-28 |