| NPI | 1205592862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP PILLARISETTY, Owner 561-507-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2026-08-14 |