| NPI | 1295771731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC R HAYNES Owner 727-846-7618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2024-04-22 |