| NPI | 1225638612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIAN K SAJAN Authorized Official 407-622-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |