| NPI | 1275637779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER J SPENCER President 850-872-2587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: FL ME48318) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |