| NPI | 1265788459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC K. GROTEKE Partner 727-474-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MN 447937400027) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-09-12 |