| NPI | 1376994608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE GARI Chief Administrative Officer 813-549-2134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 101YM0800X Counselor, Mental Health | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 363LF0000X Nurse Practitioner, Family | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2025-09-29 |