| NPI | 1407261647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES FREIDENSTEIN President 904-403-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: TN 48077) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |