| NPI | 1215982665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN STEVEN DAITCH Owner 239-437-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: FL ME60798) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-12-16 |