| NPI | 1407046642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL BUCCIARELLI VP, Legal Services 813-871-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2025-07-30 |