| NPI | 1245058999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BJERKE Managing Member 386-307-0740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 174400000X Specialist |
| 207L00000X Anesthesiology | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2025-03-25 |