| NPI | 1255351532 |
|---|---|
| Doing Business As | HERNANDO PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | JEAN M SIDHOM Billing/Office Manager 352-688-6393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-04-03 |