| NPI | 1538311345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL R NOBACK President 941-360-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2011-02-07 |