| NPI | 1477119519 |
|---|---|
| Doing Business As | SHILOH MEDICAL GROUP |
| Doing Business As | TAMPA PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEPHEN O BANJOKO CFO 212-257-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2022-01-05 |