NPI | 1346710423 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA BOWMAN-WHEATLEY CEO/Administrator 407-478-0007 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
208VP0000X | |
Enumeration Date | 2018-11-30 |
Last Update Date | 2019-04-22 |