| NPI | 1275723520 | 
|---|---|
| Doing Business As | HEADACHE & PAIN MANAGEMENT OF SWFL | 
| Entity Type | Organization | 
| Authorized Contact | FRED ALLAN LIEBOWITZ Owner/President 239-278-1000 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208VP0000X (Licence: FL ME60344) | 
| Enumeration Date | 2007-08-01 | 
| Last Update Date | 2016-10-06 |