| NPI | 1629336193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MARK ROSS Medical Director/Owner 941-979-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain (Licence: FL PMC1756) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2018-05-16 |