| NPI | 1215758107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY S YOUTZ President, CEO 813-833-1355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 261QP3300X Clinic/Center, Pain | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-11-05 |