| NPI | 1225227143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL GLENER President 772-337-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |