| NPI | 1588083125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIAN SAJAN Owner 407-622-5766 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME109651) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME109651) |
| 208VP0000X (Licence: FL ME109651) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2017-10-18 |