| NPI | 1235117649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MARIE LOMSAK Practice Manager 863-682-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: FL M0070224) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2020-08-22 |