| NPI | 1629301841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MORRIS SACKHEIM Owner 850-433-6918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |