| NPI | 1205095254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK A GRANA President/Owner 813-935-1284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME66670) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |