| NPI | 1356617187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L LE MON Medical Director 407-440-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL HCC8937) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL HCC8937) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-08-30 |