| NPI | 1497087076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADETOLA ADEYANJU-ISHOLA Mgr 813-420-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain (Licence: FL ME102530) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |