| NPI | 1598242539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP RENFROE President 850-477-5610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |