| NPI | 1497006423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO PARDO President/Director 904-647-9199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2013-08-09 |