| NPI | 1386987584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANPREET SINGH BHATHAL Managing Member 727-408-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH10839) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 225100000X Physical Therapist (Licence: FL PT30139) | |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2024-01-15 |