| NPI | 1538498761 |
|---|---|
| Former Legal Business Name | PAIN MANAGEMENT INCORPORATED |
| Entity Type | Organization |
| Authorized Contact | STEVEN EDSON Office Manager 954-573-5083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2010-09-08 |