NPI | 1629371000 |
---|---|
Doing Business As | LAKE MARY PAIN RELIEF CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL DOYLE CEO 813-569-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2010-12-07 |
Last Update Date | 2010-12-07 |