| NPI | 1619923158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMTIAZ HOSSAIN President 727-588-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2012-02-20 |