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 |