| NPI | 1245740125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIAN K SAJAN Owner 407-622-5766 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME109651) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME109651) |
| 291U00000X Clinical Medical Laboratory (Licence: FL 800025838) | |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |