NPI | 1225871700 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA SCHLEMBACH Credentialing 850-494-0048 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine |
Enumeration Date | 2024-06-13 |
Last Update Date | 2025-04-21 |