| NPI | 1477183085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLEM JACOBUS NEL Owner 813-557-5587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2022-11-09 |