NPI | 1609056282 |
---|---|
Former Legal Business Name | KORUNDA PAIN MANAGEMENT CENTER |
Entity Type | Organization |
Authorized Contact | ZDENKO KORUNDA Physician/Owner 239-591-2803 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME86588) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME114039) |
207R00000X Internal Medicine (Licence: FL ME82233) | |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL OS11178) | |
Enumeration Date | 2007-11-12 |
Last Update Date | 2017-09-01 |