| NPI | 1477470037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY BAKSHI Owner 386-274-2977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 208VP0000X | |
| 225100000X Physical Therapist | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| Enumeration Date | 2026-07-02 |
| Last Update Date | 2026-07-02 |