| NPI | 1205569233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHA SUTARIA President 813-295-6809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2025-07-17 |