| NPI | 1326453747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY BAKSHI CEO 386-274-2977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 207L00000X Anesthesiology | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2025-10-08 |