| NPI | 1518308972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN THOMAS PYLES Owner 352-861-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL me40627) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2014-01-20 |