| NPI | 1336336130 |
|---|---|
| Doing Business As | BRANDON PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEAN SIDHOM Billing/Office Manager 352-688-6393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2013-04-03 |