| NPI | 1437603404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO POTO Owner/ Authorized Official 772-446-4883 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2017-11-03 |