| NPI | 1205864121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D ZIMMERMAN Physician 772-778-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL OS0007702) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2009-09-15 |