NPI | 1265734156 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDSON RANDALL Sole Proprietor 813-244-4760 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: FL MA44083) |
Enumeration Date | 2010-11-26 |
Last Update Date | 2010-11-26 |