| NPI | 1356998975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAITAO ZHANG President 904-718-6929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2022-02-22 |