| NPI | 1376819037 |
|---|---|
| Doing Business As | FIRSTHEALTH BACK AND NECK PAIN CENTER-SANFORD |
| Entity Type | Organization |
| Authorized Contact | LYNN S DEJACO CFO 910-715-1913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-09-14 |