| NPI | 1558017038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA L SCOTT Credentialing Specialist 407-797-5958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-02-23 |