| NPI | 1538155619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY HIGH Partner 863-314-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X (Licence: FL ME64529) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME64529) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME64529) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2011-02-23 |