| NPI | 1356345060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIAN SAJAN Owner 407-622-5766 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: FL ME109651) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2022-07-21 |