| NPI | 1558488452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARISSA H STONE President 813-877-6191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-09-14 |