| NPI | 1295421006 |
|---|---|
| Other Name | SPACE COAST SPINE PAIN |
| Entity Type | Organization |
| Authorized Contact | LORA MORSE VP Professional Fee Services 321-434-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-18 |