| NPI | 1205569233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GUDE President 813-495-5567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2024-03-20 |